Most Relevant Information
Provider Data
| NPI Number: | 1003819384 |
| Provider Name: | TRICIA A JOHNSON R-PAC |
| Entity Type: | Individual |
| Taxonomy Code: | 363AS0400X |
| Specialty: | Physician Assistant |
| License Number: | 25MPOO117100 |
Most Important Dates
| Enumeration Date: | 05/31/2005 |
| Last Updated: | 05/07/2024 |
Provider Practice Location
100 MADISON AVE
MORRISTOWN
NJ
079606136
Practice Location Phone/Fax
| Phone: | 9739717355 |
| Fax: | 9732907495 |
Provider Mailing Location
PO BOX 416457
BOSTON
MA
022416457
Provider Mailing Phone/Fax
| Phone: | 8443621735 |
| Fax: | 9732907495 |